Hylic Physical Therapy Apc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HYLIC PHYSICAL THERAPY APC

Practice address

9840 Mira Lee Way Apt 20212
San Diego, CA 92126-4755

Phone

(248) 821-1325

NPI assigned

Oct 25, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Suraj Kushvah, PHYSICAL THERAPISTNPI 1710654710

Title

President

Phone

(248) 821-1325

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suraj Raghuraj Kushvah

  • Physical Therapist
  • San Diego, CA
  • NPI 1710654710
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1821860693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 MIRA LEE WAY APT 20212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264755",
            "telephone_number": "248-821-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 MIRA LEE WAY APT 20212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264755",
            "telephone_number": "248-821-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYLIC PHYSICAL THERAPY APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "KUSHVAH",
        "authorized_official_first_name": "SURAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-821-1325",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Monty Hyden Jr., PH.D.
• Hydra Golden Care LLC
• Hyena Physical Therapy, Inc.
• Travis D Hyke
• Karen Zoe Hyland, PH.D.
• Diana J Hylton, M.D.
• Emily Patricia Hylton, CRNA
• Leonida Mata Hyman
• Robert W Hymes, D.D.S.
• Jane Hynes, LCSW

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.